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EFFECTIVENESS OF TRIPLE ELIMINATION FLIPCHART (LEB3E) IN IMPROVING PREGNANT WOMEN’S KNOWLEDGE, ATTITUDES, AND PREVENTIVE ACTIONS Khairunnisa, Dini Pajriani; Herawati, Yanti; Nurlatifah, Teni; Wijayanegara, Hidayat; Suardi, Achmad; Garna, Herry
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 17 No 2 (2025): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v17i2.2761

Abstract

The triple elimination program aims to prevent the vertical transmission of HIV, hepatitis B, and syphilis in newborns. However, the effectiveness of educational efforts for pregnant women remains a challenge. The Triple Elimination Flip chart was developed as an interactive educational tool, expected to be more effective than leaflets in improving pregnant women’s knowledge, attitudes, and preventive actions regarding triple elimination screening. This study employed a randomized pretest-posttest control group design with purposive sampling. Participants were divided into two groups: an intervention group that received education using LeB3E and a control group that received a leaflet. Measurements were taken before and after the intervention using a questionnaire assessing knowledge, attitudes, and actions, and the data were analyzed using paired sample t-tests in SPSS. The results showed that LeB3E was more effective than leaflets in enhancing pregnant women’s knowledge, attitudes, and preventive actions regarding triple elimination screening. The intervention group demonstrated a significantly greater improvement compared to the control group. The Triple Elimination Flip chart has proven to be a more effective educational tool than leaflets in increasing pregnant women's knowledge, attitudes, and actions towards triple elimination screening. Integrating LeB3E into antenatal care services is recommended as an educational strategy to support efforts in preventing the vertical transmission of HIV, hepatitis B, and syphilis.
The Effect Of Use Of "Undercare Underwear ITA, Cidita" On Reducing Wound Pain Post Sectio Caesarea nashriva, Ita; Septiani, Leri; Anwar, Anita Deborah; Herawati, Yanti; Garna, Herry; Wijayanegara, Hidayat
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 9 (2024): Volume 10 No.9 September 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i9.16587

Abstract

Latar Belakang: Sectio caesarea diperkenalkan sebagai praktik klinis untuk menyelamatkan nyawa ibu dan bayi ketika komplikasi medis kritis muncul selama kehamilan. Pasien akan merasa sakit selama beberapa minggu post-sectio caesarea, pasien mungkin memerlukan pereda nyeri selama satu minggu hingga sepuluh hari setelah melahirkan. “Undercare Celama Dalam Ita” merupakan inovasi yang digagas dalam upaya memberikan kenyamanan untuk ibu post-sectio caesarea dengan menggunakan celana dalam yang sudah dimodifikasi lengkap dengan fungsi gurita dan magnet untuk membantu menurunkan nyeri post-sectio caesareaTujuan penelitian : menganalisis pengaruh penggunaan “Undercare Celana Dalam Ita” terhadap pengurangan dan nyeri  post sectio caesarea.Metode penelitian : desain penelitian ini adalah penelitian kuantitatif dengan menggunakan metode quasi experimental design. Sampel penelitian ini adalah ibu yang yang dilakukan sectio caesarea di RSUD Kabupaten Bekasi periode bulan April 2024. Independent sample t test dan uji Generalized Estimating Equations (GEE) digunakan untuk mengetahui pengaruh overall skor dari pretest, posttest 1, posttest 2, dan posttest 3 terhadap pengurangan nyeri luka operasi post sectio caesarea.Hasil penelitian : independent sample t test diperoleh posttest 1 (Mean Diff: 1,119; 95% CI 0,734-1,504; p = <0,001), posttest 2 (Mean Diff: 1,143; 95% CI 0,755-1,531; p = <0,001), dan posttest 3 (Mean Diff: 0,833; 95% CI 0,451-1,215; p = <0,001), menunjukkan hasil yang signifikan. Uji Generalized Estimating Equations (GEE) diketahui bahwa overall data menunjukkan pengurangan nyeri  post sectio caesarea (Mean Diff: 4,130; 95% CI 2,147-6,114; p = <0,001).Kesimpulan : terdapat pengaruh penggunaan Undercare Celana Dalam Ita terhadap pengurangan nyeri post sectio caesarea.Saran : Bagi pasien post sectio caesarea  dapat menggunakan “Undercare Celana Dalam Ita, CIDITA” untuk mempercepat menurunkan nyeri post-sectio caesarea Kata Kunci : Post sectio caesarea, Undercare Celana Dalam ItaABSTRACT Background: In cases of life-threatening maternal or foetal problems, the sectio caesarea was instituted as a clinical procedure to preserve mother and child. Patients may need pain medication for one to ten days following delivery, and they will continue to feel pain for several weeks following a caesarean section. The "Undercare Underpants Ita" are a new invention that aims to alleviate the discomfort that some women experience after cesarean sections by utilizing modified underwear that includes octopus and magnet features.Purpose:  The research set out to determine whether "Undercare Underpants Ita" could alleviate discomfort experienced by women after cesarean sections.Methods:  This research used a quantitative approach based on a quasi-experimental methodology. This research aimed to examine the outcomes for moms who had cesarean sections performed in April 2024 at the Bekasi Regency Hospital. We utilized a Generalized Estimating Equation (GEE) test and an independent sample t test to find out how different total scores from the pretest, posttest 1, posttest 2, and posttest 3 affected the decrease in post-sectio caesarea surgical wound pain.Results: Posttest 1, posttest 2, and posttest 3 all yielded significant results in the independent sample t test (mean difference: 1.119; 95% CI: 0.734-1.504; p = <0.001), with posttest 3 also yielding a significant result (mean difference: 0.833; 95% CI: 0.451-1.215; p = <0.001). The results of the Generalized Estimating Equations (GEE) test indicated a decrease in post-sectio caesarean discomfort, as evidenced by a mean difference of 4.130 (95% CI: 2.147-6.14; p = <0.001).Conclusion: Last but not least, wearing Undercare Ita Panties might alleviate some of the discomfort that comes after a cesarean section.Suggestions; For post sectio caesarea patients can use "Undercare Underpants Ita, CIDITA" to accelerate reducing post-sectio caesarea pain. Keywords: : Post Sectio caesarea, Undercare Ita Panties.
Comparison of the Effectiveness Between Kuresif Audiovisual Media with Flipchart Media on Increasing Knowledge and Attitudes of 0-24 Month Invant Underweight’s Mother about Complementary Feeding Suminar, Ratna; Setiawan, Henri; Suardi, Achmad; Komalaningsih , Sri; Garna , Herry; Wijayanegara , Hidayat; Sutisna , Ma'mun
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 1 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i1.604

Abstract

Aims: This research aims to compare the effectiveness between Kuresif audiovisual media and Flip Sheet Media in improving mothers' knowledge and attitudes. Methods: This type of research is a quasi-experiment with a pretest posttest control group design based on the total sampling technique. The research was conducted during August-September 2021. The sample consisted of 102 control groups and 102 intervention groups. Statistical analysis using the Wilcoxon test with questionaire. which aims to determine the effect of applying flip-sheet media and Kuresif audiovisual media on mothers' knowledge and attitudes in providing appropriate complementary feeding. Results: The results showed that in the flipchart media group there was an average increase in knowledge of 4,3% from 11,8% to 16,1%. Mothers' attitudes experienced an average increase of 20,9% from 56,8% to 77,7%. Meanwhile, in the kuresif audiovisual media group the average increase in knowledge was 6,9% from 12,4% to 19,3% and attitudes experienced an average increase of 33,4% from 59,1% to 94,5% with p=0,00. Conclusions: Kuresif audiovisual media is the most effective in increasing mothers' knowledge and attitudes compared with flipchart media. Indonesia is still facing nutritional problems that have a serious impact on the quality of human resources. Mother's lack of knowledge is one of the causes of improper nutritional intake. One way to accelerate efforts to break the cycle of nutritional problems is to increase mother's knowledge through counseling using flipchart media. Based on the evaluation carried out, the flipchart media has not shown an increase in the knowledge and attitudes of mothers regarding complementary feeding. Innovation is needed from counseling media in order to increase mother's knowledge and attitudes.
The Effectiveness of Referral Back Sheets on Early Detection of High Maternal Risk in the Work Area of Subang Health Department Septiani, Leri; Herawati, Yanti; Wijayanegara, Hidayat; Hartiningsih, Siti Sugih
ENDLESS: INTERNATIONAL JOURNAL OF FUTURE STUDIES Vol. 6 No. 2 (2023): ENDLESS: International Journal of Future Studies
Publisher : Global Writing Academica Researching & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Maternal health is an important aspect of the health care system, as the quality of maternal health has a direct impact on the well-being of the mother and her unborn child. High maternal risk refers to conditions that increase the potential for complications during pregnancy, labor and postpartum. Early identification of high maternal risk is crucial to provide appropriate care and reduce the risk of complications that can harm both mother and baby. One tool that can be used to support early detection of high maternal risk is the Pre-Referral Back Sheet (PRBS). PRBS is an instrument that presents a collection of questions or certain parameters that must be filled in by health workers, especially midwives during prenatal examinations. It is designed to identify risk factors and early symptoms that may indicate potential maternal high risk. Although the LBPR has been integrated into maternal health care practice, no in-depth study has specifically evaluated its effectiveness in early detection of maternal high risk. Therefore, this study aimed to evaluate the effectiveness of the Pre-Referral Back Sheet in early detection of maternal high risk and identify the extent to which this tool can improve the quality of maternal health care. This study used an observational method with a cross-sectional approach with a sample of 450 pregnant women who attended prenatal examinations at selected health centers. Of the total 450 respondents, the majority were pregnant women of reproductive age (20-35 years) with an average age of 28 years. 60% of respondents had secondary education, and 80% lived in urban areas. The prevalence of maternal high risk in the Subang Health Office Working Area was found to be 18%, based on the criteria identified by the LBPR. Statistical analysis showed that the use of LBPR significantly improved early detection of maternal high risk. The sensitivity of LBPR reached 75%, with a specificity of 85%. These results indicate that the LBPR can identify most maternal high-risk cases with good accuracy. Based on these findings, it can be concluded that the Pre-Referral Back Sheet (LBPR) is effective in early detection of maternal high risk in the Subang Health Office Working Area. The use of LBPR can improve the quality of maternal health services and contribute positively to efforts to prevent and manage high maternal risk.
A Comprehensive Study of the Dynamic Interaction Between Normal Labor Pain and Maternal Anxiety Levels: A Multivariable Approach to Analyzing Psychophysiological Influences and Subjective Perceptions Wijayanegara, Hidayat; H. R., Teni Nurlatifah; Rowawi, Roni; Herawati, Yanti
ENDLESS: INTERNATIONAL JOURNAL OF FUTURE STUDIES Vol. 5 No. 2 (2022): ENDLESS : International Journal of Future Studies
Publisher : Global Writing Academica Researching & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Normal labor is a complex physical and emotional experience for a mother, with pain being a major element in this process. The interaction between labor pain and maternal anxiety levels is an aspect that requires in-depth understanding, given its influence on the psychophysical well-being of both mother and baby. Although the scientific literature has highlighted the importance of pain and anxiety management during labor, comprehensive studies that consider the psychophysiological and subjective perceptual influences on this dynamic interaction are limited. Therefore, this study aimed to explore the relationship between pain in normal labor and maternal anxiety levels through a multivariable approach. This research method uses a quantitative approach with an analytic observational research type. The research design was conducted prospectively. This research method involves maternal respondents who experience normal labor, with data collection through measuring anxiety levels using standardized questionnaires and psychophysiological analysis using objectively measured parameters. In addition, a multivariable approach was used to analyze the complexity of the interaction between the variables involved. The sample size was 100 laboring mothers, randomly selected from the population of mothers who met the inclusion criteria. The population was mothers giving birth at TPMB Midwife Delima in Bandung City. Using cluster sampling, only 40 pomegranate midwives (10 sub-districts) were taken from a total of 127 pomegranate midwives from 30 sub-districts. The results showed that the average level of pain during labor reached 6.8 with an average duration of 8 hours. The average maternal anxiety level reached 55 on a scale of 0-100. A significant correlation was found between pain and anxiety (r = 0.68, p < 0.05), while psychophysiological influences such as frequency of uterine contractions and blood pressure also played a role in the experience of pain. Social support was also shown to influence anxiety levels (p = 0.005). These findings illustrate the complexity of interactions between psychophysiological and social aspects in the context of normal labor, providing a basis for the development of more targeted intervention strategies in the management of maternal pain and anxiety. The conclusion of this study shows that there is a significant relationship between pain in normal labor and maternal anxiety levels. Psychophysiological influences, such as frequency of uterine contractions and blood pressure, as well as social support, play an important role in determining the mother's experience during labor. Therefore, increased attention to pain management and provision of adequate social support may be key to reducing maternal anxiety levels. A suggestion for health practitioners is to strengthen efforts to integrate holistic pain management strategies and enhance aspects of social support during normal labor, in the hope of improving the mother's overall emotional and physical well-being.
The effect of differences in the management of mild pain with and without hypnotherapy speakers in post-operative cancer patients Sugiyono, Iis; Suardi, Achmad; Suryani, Suryani; Anwar, Anita Deborah; Rowawi, Roni; Wijayanegara, Hidayat
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 4 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(4).490-503

Abstract

Background: Cancer, a prevalent non-communicable disease globally and in Indonesia, poses significant health challenges. Pain, a frequent and dreaded symptom in cancer patients, can severely impact their functional abilities, quality of life, and elevate stress levels within families. Non-pharmacological approaches to pain management, like hypnotherapy, offer safe, affordable, and readily applicable solutions.Objectives: This research seeks to evaluate the impact of varying approaches to managing mild pain, specifically comparing the use of hypnotherapy speakers versus their absence, in post-operative cancer patients at RSPAD Gatot Soebroto during the period from December 2023 to January 2024.Methods: This quantitative study employs a Quasi-Experimental design with a Two Group Pretest-Posttest format. The research took place in the Obstetrics Ward on the second floor of PIS RSPAD Gatot Soebroto from December 16, 2023, to January 17, 2024. A total of 44 participants were included, divided into a control group and an intervention group. Data collection was carried out using observation sheets and universal pain assessment tools. Descriptive statistics were analyzed using univariate analysis, and normality tests were performed before conducting bivariate analysis to assess data distribution.Results: The research revealed a notable decrease in pain scores following the use of hypnotherapy speakers. Initially, the average pain score was 2.59 (SD=0.59) prior to the therapy, which dropped to 0.73 (SD=0.83) post-therapy. Both the administration of Paracetamol alone and in combination with hypnotherapy speakers significantly alleviated pain in patients with ovarian and cervical cancer (p<0.001). Moreover, a significant difference was observed between the intervention and control groups in the post-test results (p=0.004).Conclusions: These results suggest that combining Paracetamol with hypnotherapy speakers is more effective at alleviating pain in patients with ovarian and cervical cancer than using Paracetamol alone. This study serves as a valuable reference for future research on the utilization of hypnotherapy speakers and offers practical guidance for midwives to adopt hypnotherapy speakers to expedite pain relief in cancer patients.
Co-Authors Aam Maryamah Achmad Suardi Achmad Suardi Achmad Suardi Ade Ifah Latifah Adjat Sedjati Rasyad Adjat Sedjati Rasyad Adjat Sedjati Rasyad Adjat Sedjati Rasyad Adjat Sedjati Rasyad Ahmad Suardi Alamsyah Aziz Alindawati, Rifka Andi Rinaldi Anita Deborah Anwar Anita Deborah Anwar Anita Fitriaturohmah Annesya Atma Battya Ardini Saptaningsih Raksanagara Ardini Saptaningsih Raksanagara Ardini Saptaningsih Raksanagara, Ardini Saptaningsih Arsita Pratiwi Atie Rachmiatie Aziz, Alamsyah Aziz, M. Alamsyah Cahyani, Yuni Cherawaty, Aneu Dave Orlando Gumay Dave Orlando Gumay, Dave Orlando Deborah , Anita Della Erriani Akaputri Dewi Nawang Sari Dona Tri Subdari Fajarini Putri Hidayat Fatmawati Karim Febi Puji Utami Firman Fuad Wirakusumah H. R., Teni Nurlatifah H.R., Teni Nurlatifah Hadi Supriadi Harefa, Umy Darni Hartiningsih, Siti Sugih Hartiningsih6, Siti Sugih Heni Nurakilah Henri Setiawan Herawati, Yanti Herlina, Lusi Herri S. Sastramihardja Herry Garna Irda Novrida Ashar Ismayanty, Devie Jernihati Krisniat Harefa Jusuf Sulaeman Effendi Karimah, Karimah Karmelia, Mela Katmini, Katmini Khairunnisa, Dini Pajriani Komalaningsih , Sri Komalaningsih, Sri Leri Septiani Lestari, Meti Widya Lilis Lisnawati Lina Herlina Lina Herlina M. Nurhalim Shahib Ma&#039;mun Sutisna Ma&#039;mun Sutisna Ma&#039;mun Sutisna Ma&#039;mun Sutisna Ma&#039;mun Sutisna Mamun Sutisna Ma’mun Sutisna Ma’mun Sutisna Ma’mun Sutisna Ma’mun Sutisna Ma’mun Sutisna4 Meti Widiya Lestari Metty Nurherliyany Muayah Muayah Muhammad Andiva Billy Afriza nashriva, Ita Natasya Fitri Herwandi Nike Arta Puspitasari Novita Ayu Indraswati NUR AINI Nurlatifah HR, Teni Nurlatifah, Teni Nz.Gea, Diana Oktavia Oky Haribudiman Patmawati, Rina Pramukani, Irka Puji Handayani Rhismayati, May Rifka Alindawati Rizki Safaat Nurahim Rowawi, Roni RR. Ella Evrita Hestiandari Ruswana Anwar Ryandini, Gessyla S Sastramihardja, Herri Sadawa, Helena Mariani Sastramihardja , Herri Selvi Puspan Sari Septiani , Leri Siti Sugih Sri Hennyati Amiruddin Sri Komalaningsih Stusisna, Ma'nun Suardi, Achmad Suardi, Achmad Sugiyono, Iis Suminar, Ratna Suparni ,, Suparni Suryani Soepadan Suryani Soepardan Suryani Soepardan, Suryani Suryani Suryani Suryani Suryani Sutisna , Ma'mun Sutisna, Ma'mun Sutisna, Ma’mun Tania Novi Tania Novy Udin Sabarudin Udin Sabarudin WaOde Nur Syuhada Yeni Mahwati Zulmansyah , Zulmansyah